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tv   CNN Newsroom  CNN  October 12, 2014 2:00pm-3:01pm PDT

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can't do. i worry about what they can do. i'm building them up and stronger so they can live life like they're supposed to. >> thanks for spending part of your sunday here with us. the next hour of newsroom begins right now. >> hello. you are in the cnn newsroom. thanks for joining me. we begin with disthat is what is believed to be the first he will have multiple occasions of research before he died. >> we don't know what occurred in the care of the index patient. the original patient in dallas.
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but at some point there was a breach in protocol. >> it was confirmed that he had ebola and was admitted for treatment. gown, gloves, mask, shield, all used. she reported a low grade fever on friday night and immediately was isolated. hazmat crews have cleaned up the nurse's car and have plans to work on the parm today. stop blaming nurses, stop ebola. >> we cannot blame the health care providers who are on the front line risking their lives
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to provide care for patients and who are then faced with possible infection themselves. >> emergency crews are now on the scene of a medical facility near boston where doctors are assessing a patient with ebola like symptoms.
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>> based on involvement and caring for the patient individuals are being monitored to take it as a result of that process the care giver note i have ed the entire prosays.
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>> this individual was following full cdc prekauxs which are barrier and droplet. >> i just heard the nurse from the nurses association say certainly no one is blaming the nurse. something might happen beyond your control. what leads to an inadvertent
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breach of protocol. by no means this person's fault. >> you any an accident could result in this. we have been asking viewers for questions today. scott had this question. why is transmission evidence of a breach in protocol rather than an indictment of effectiveness. >> i think as far as that goes, the way to prevent transmission is to prevent it in western africa. now as far as the patients here in the united states that were being treated, it's the strict adherence to protocol. and so, there still is a learning curve and an understanding on how formidable of a virus this really is.
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>> so i want you all to take a listen to cdc director talk more about the protocols. >> the care of ebola can be done safely. it requires meticulous and scrupulous control. and even a single. the number of workers who care for anyone c-- third we recommed that the procedures that are undertaken on to support the care of that shij be limited sewly to essential procedures.
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it is not always safer and make make it harder to provide effective care to all aspects of personal protective equipment. >> i want to talk a little about the last point. it is very difficult to put on and take off the equipment in the right way. how do we go about that? is there an easier solution here? >> doctors without borders have a very ritualized approach to putting on and taking off the equipment. in addition, they have a buddy system where somebody soup vises you to make sure you don't contaminate yourself. >> is there anything that you can think of that maybe our hospitals or health departments here in the u.s. haven't thought of in terms of what you're hearing and the way they will proceed? >> you have to remember it's the local and state health
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departments that take the lead. that leads to tremendous variability in their capabilities and their plans. it's clear that many of these plans for emergency preparedness are fairly generic. so we're having to fill in some of the details now. so for example, 911 call operators in new york have been trained what questions to ask so that when emts arrive on the scene they are aware of the risk. that they get payment for lost days of work. >> so much to think of that you don't know until you are faced with the situation. >> another question for you. doctors in omaha are treating the nbc reporter.
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we know he was being treated with the statement experimental drug that was given to thomas duncan but he received a drug transfusion from an ebola transfusion what made the dirns difference? >> we really don't know. when you have so few people and experience to compare it with really nothing.
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doctors have been prescribingdecade, nexium to patients just like you. for many, prescription nexium helps heal acid-related erosions in the lining of the esophagus. there is risk of bone fracture and low magnesium levels. side effects may include headache, abdominal pain, and diarrhea. if you have persistent diarrhea, contact your doctor right away. other serious stomach conditions may exist. avoid if you take clopidogrel. nexium 40 mg is only available by prescription. talk to your doctor. for free home delivery, enroll in nexium direct today. >> that patient has now been removed from the building, put
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into an ambulance and headed to another hospital in boston. we hope to learn more information in the next couple of hours. >> don't blame the nurses. hundreds of nurses are rallying in california demanding better training. >> the nurse that has just become infected in texas, we are seeing that care givers who are not being adequately trained are being blamed and we are hearing that they have not followed proper protocol when we have been asking our hospitals throughout the country to provide us with training that allows us to ask questions. with training about how to put on the proper and optimal level of personal protection equipment. what is the plan for waste disposal? we have seen in our hospitals in
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this country that they have not given us this identification. and then when the nurses become infected they are blamed for not following the protocols. that is not going to work. >> some of those comments we just heard are alarming.
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help us to understand where you're coming from. we have been asking for the last couple of months in order to protect ourselves, our patients and our communities for face to face training where we can ask questions, have our questions answered. >> in many places we are hearing that nurses are being given a miss of paper or a link to a
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website. that's insufficient. that's not going to prepare you for caring for one of these patients. we are seeing when patients are cared for at hospitals like emery that the people that are transporting them have full hazmat suits on and full protective equipment and we believe that nurses deserve no less in their ability to take care of these patients so that we can have other patients be safe and ourselves be safe and have our family be safe. >> katie, we are hearing you and please do not think that any of us are blaming you. we appreciate the work that you are doing and your points are duly noted. i want to bring back our panel. let's start with you this time. you just heard those comments. what are your thoughts about how the health care system in america is working regarding the ebola threat? >> i think they are doing as
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best as they can. nobody has seen patients like this before in the united states and nobody has had to go through the drills and exercises and practice of taking equipment on and off. and for that reason, i think it might be time for federal officials to consider maybe consolidating patient care in a couple of those biocontainment centers either in nebraska or atlanta. at least that should be on the table. >> we are seeing that hospital in dallas treat patients but that was not one originally prepared to treat patients.
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we need to review specifically what might have happened in this case and is the actual training -- a protocol is a protocol and we know it works because we have years and years of experience when trained people like the people in doctors without borders use the protocol we don't see infections. but the nurse made a good point. if train something lacking among them, we need to make sure they get trained properly so that they can implement the good protocol correctly. >> are you still with us? >> i would love to respond to that if i can.
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>> bleez do. it's our belief that the hospitals are choosing not to put in place the training and that we have a very fragmented health care system in the united states. and so we are asking that we put our resources towards patient care so, you know, when you have this fragmentation you don't have the overall sense of implementing from a national level. and we're seeing that hospitals when given the choice to either put in place proper training and at the highest level of protective equipment that many of them are choosing not to do so up until this point and that's not okay.
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>> katie, thank you for your thoughts and thank you for joining us. panel stay with me. we have got kweto squeeze in a quick break. we will talk more when we come back including how a nurse can wear full gear and still get ebola. we will have our panel weigh in on that next.
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>> fear turns into reality. so the question now, what's it going to take to stop ebow lafrom spreading? >> the care of ebola can be done safely but it's hard. it requires meticulous and scrupulous attention to infek control. second, we are recommending to the facility that the number of workers who care for any number of care workers exposed be kept
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to an absolute minimum. fourth, we're looking at personal protective equipment. understanding that there is a balance and putting more on isn't always safer. it may make it harder to provide effective care. >> i want to bring back my panel now. it just seems that there is so much risk. we are now hearing that in liberia, nurses are threatening to strike because they don't feel that they are in the safe environ
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environment we have seen physicians and nurses refuse to treat patients in the past because they didn't have adequate information to feel safe. another factor is whether physicians and nurses who take care of infected patiences should they be compensated for the risk that they're taking? >> do you feel they should? >> bernly, i don't. some are being offered hazard pay. >> you talked a little about this previously but after what happened, you mentioned maybe it's best to send these patients who have ebola to the hospitals
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that are prepared to deal with them. shouldn't all hospitals be ready now that we are seeing the virus pop up where you don't expect it? >> edon't get me wrong. that is a mere suggestion but certainly every hospital in the united states should be prepared to take care of an ebola patient. it's clear that even patients that are treated by treatment teams in west africa, the health care workers still fall victim to them and they treat them every day and they treat hundreds of these people. there is something to be said about groups like doctors without borders that have very minimal infection because they follow such a strict protocol. i think it makes sense to have concentrated teams that know how to work on this take care of these patients rather than a distributed system where people
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have minimal or moderate education and training to take care of these highly infect shs patients. >> are the nurses etc. etc. treating an ebola patient assigned only to that specific case or are they seeing other patients, too? >> i don't know specifically in that hospital but i'm fairly certain that the protocol would be that they are essentially assigned to that patient and only that patient. i can tell you that in my own institution at the nih, which recently admitted a person who had a risk exposure that we had a designated team that did that and only that. >> all right. well, thank you so much doctors. we really appreciate your expertise on this topic moving to another big story today we want to get to isis.
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it's only eight miles from baghdad's airport. we will take you there live and discuss it next.
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>> right now isis militants are just miles away from baghdad international airport. there has been a heated e-mail exchange going on about whether iraq's capital could really fall
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to isis take off e-mail and put it on tv so putting -- our cnn senior national correspondent. joining me on the phone. he is with the cnn military analyst. you used a really interesting analogy saying if isis was eight miles from dulles airport, would we not be worried about washington? is it not feasible? >> the battle for baghdad as far as isis is concerned would be a serious proposition. this is a huge city about 9 million people, many of them or
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whatever that is in miles to the west of here. we also that there are u.s. advisors with the iraqi troops that there are helicopters at baghdad international airport that are providing air cover for operations by the army. in addition to that there are drones flying overhead. there are aircraft of the coalition that are striking isis targets on a regular basis. isis really would be up against quite a challenge trying to enter the city of baghdad. because if they did they would be faced not only by the iraqi army but there are tens of there is any threat to baghdad despite
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the approximate similar pi of isis forces. >> you say that we are not taking the capabilities seriously enough. why? >> i think we have underestimated them. they are also conducting operation operations right up by the airport there. they are just fighting there at heat. they are commanding and controlling forces. we have not been able to degrade their capability. and the iraqi army, the leadership.
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so, i think ben is right on there. but the outskirts are still well within their sites. >> i keep wondering if everybody doesn't need to have a revolution in their military thinking here. right from the beginning that air strikes would not solve this. they are absolutely right. it's not really rolling back isis in any fashion. maybe a 35-year-old, 40-year-old concept of how to conduct warfare.
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we're really still doing it the same way. the technology is better. you look for a target and you bomb it. making friends and terrorizing people at the same time. they can sit on the outskirts and use long range mortars. they are hold people in territory at the same time if you go to make the key point, there are strategies. much of this war is recruited on social media. they don't have to respond necessarily to the 40-year-old strategy that the u.s. military is doing. >> you bring up a good point
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there about motivation of isis. but, ben, there on the ground, do you feel that isis has the desire to go in and try to take over baghdad? would that be part of their strategy? >> no. i don't think so. no it wouldn't. what they would like to do is on the one hand, and what they're doing already, every day there are several car bombings in baghdad. there was one last night that killed more than 40 people which may have killed as many as 60 people. three bombings in that instance. what they want to do is really sow tror. reasoningry that they are constantly being bombed.
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the conflict whether it's between shia, sunni or many of the other minorities here. they want to create division and decent. so that is their tactic to sow division and tror and anger and hatred. >> you're shaking your head. we have to get in a quick break so hold your thought for just a moment and we will talk about it on the other side. stay with us. ♪ who's going to do it? who's going to make it happen? discover a new energy source. turn ocean waves into power. design cars that capture their emissions. build bridges that fix themselves. get more clean water to everyone. who's going to take the leap? who's going to write the code? who's going to do it? engineers. that's who. that's what i want to do. be an engineer.
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>> the u.s. and the world under estimating isis. that's the question we're putting to our panel. joining me now is our star in baghdad. first to follow up on what we were discussing in the last segment and what ben had to say, isis is not in baghdad in ters s of -- >> they're not going to be able to take the city. they are able to use indirect fire and mortars and artillery to shell inside the city. it undermines the credibility of the newly formed iraqi government.
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>> even if they don't take the city which sounds like it is very unlikely. isis wanted to take everything surrounding them. what happens then? >> what they were trying to do is we understand for instance, our colleague nick robertson spoke to an isis sympathetic suni tribal leader. simply take over for symbolic value. short of that, i -- clearly what they want to do is make life as difficult as possible for the inhabitants of the capital and for the government, the new prime minister. if you look at a map, isis has a presence to the west, to the southwest, and to the north as
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well. they are on the ewe fray tested positive river to the northwest of here. it's completely cut off. so baghdad is really just far more than that organization can wallow and would really want to swallow. but to make life difficult and undermine the credibility of this government, that's definitely part of their plan. the real challenge. a tipping point. it has really been great. maybe and maybe overestimating iraqi security forces. >> only some know the answer. yes, yes, yes.
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how does isis take this territory? unable to fight and push back. i was very surprised in the last week to hear sources that i speak to regularly very senior defense and military officials for the first time really express their dismay at the lack of response by iraqi security forces even after all of these months of having u.s. advisors there. how do you turn that around? and really isis in the cross hairs probably, the airport. baghdad international airport. that's the crown jewel for them. they don't have to take the city.
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plus diplomatic personnel with the u.s. mission in iraq. if the airport goes, that is the only way out for them. it will be very difficult to evacuate over 1,000 americans potential potentially under fire, one of the most difficult things for the military to do. >> what's it going to take to make sure that airport doesn't fall? >> they are using the apachee helicopters right now. the problem is as you get these helicopters involved they're at risk. they're more at risk than the fighters are because they're down low. the aviation, bell helicopter, these are operating in the threat envelope of the shoulder fired missiles. it puts them at much greater
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risk than the fixed wing aircraft so we're doing that now. at some point the iraqis will have to stand up or we will have to get more involved. maybe replacing the leadership structure. but the situation as it is right now the iraqis are incapable of defending that airport. >> we know there have been dozens of air strikes. are you seeing isis change its strategy at all? >> we have seen isis change its strategies over the last few weeks as those air strikes intensified and began in syria. they have been going on in iraq for over two months. i was with the curdish forces before and now we have spoke on the many iraqi officers as well. they say in the past, and you
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have probably seen the viz owes of long convoys of pick up trucks and humvees driving through the deserts and andmotorcycles. they've really switched their tactics quite smoothly to classic guerilla warfare. small units. low profile. which makes a very difficult target for coalition aircraft. >> ryan, colonel rick francona, and barbara starr, thanks to all of you. a dallas nurse has now become the first person to contract the ebola virus inside the united states. could we see more cases in the week ahead? we'll discuss just ahead. [prof. burke] it's easy to buy insurance and forget about it.
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when you hear the word root in conjunction with anthony bourdain, you might wonder what strange new concoction or dish he's trying no ining now. the roots he's looking for torrent are connected to his family. he spoke to anderson cooper for the search of his family's past in paraguay. >> what's paraguay like? i always get it confused with uruguay. paraguay, we know almost nothing about it. maybe we know, yeah, it's a place the germans hid out after the war and they had a secession of incredibly lurid over the top, like, insane military dictatorships, really lampoonable ugly stuff. my great-great-great grandfather john bourdain disappeared in paraguay in the mid 1990s. we knew he was in argentina and brazil doing some kind of mysterious business but recorded of having died there. >> wow.
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>> so i went to look into this question and while doing that, looked into paraguay which is at various times seen as a sort of utopia for german colonists, french colonists, mennonites, dreamers, lounatilunatics. >> what drew them there? >> the promise of unlimited wealth, agricultural wonderland. unlike anywhere else i'm aware of in latin america, the primary language is not spanish or portuguese. which is something i had no idea. one of their early maximum leaders commanded all citizens to intermarry and to, as best as possible, mix and/or eradicate the stain of their european heritage. >> that's really interesting. >> if is vet is very interestint
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the deadly ebola virus appears to have been contracted by someone inside the united states for the first time. despite wearing protective gear. a nurse who had, quote, extensive contact with ebola patient thomas eric duncan has tested positive for the virus. meanwhile, the cdc says more cases are possible. coming up, a live report from dallas, plus our panel of doctors are standing by to answer your questions on ebola. all in the next hour of the "cnn newsroom" which begins right now. thanks for joining me in the "cnn newsroom." i'm ana cabrera. this hour we're fast forwarding to the week ahead. a look at all the stories you'll be talking about this week. of course, the two big stories in the headlines today, ebola and isis, both deadly threats. in iraq, the coalition's air campaign hasn't stopped isis. those terrorists are now just miles from